儿童睡眠中的健康差异。
Health Disparities in Pediatric Sleep.
机构信息
Children's National Hospital, 111 Michigan Avenue Northwest, 6 Floor CTR Suite, Room M7658, Washington, DC 20010, USA.
Children's Hospital of Philadelphia, Roberts Center for Pediatric Research, 2716 South Street Boulevard, Room 8202, Philadelphia, PA 19146, USA; University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA 19104, USA.
出版信息
Sleep Med Clin. 2023 Jun;18(2):225-234. doi: 10.1016/j.jsmc.2023.01.005. Epub 2023 Feb 26.
This article reviews disparities in pediatric sleep health and sleep disorders from early childhood through adolescence (birth to age 18 years). Sleep health is a multidimensional construct including sleep duration, consolidation, and other domains, whereas sleep disorders reflect both behaviorally (eg, insomnia) and medically based (eg, sleep disordered breathing) sleep diagnoses. Using a socioecological framework, we review multilevel (ie, child, family, school, health-care system, neighborhood, and sociocultural) factors linked to sleep health disparities. Mechanistic research and studies using an intersectional lens to understand overlapping marginalized identities are needed to inform multilevel interventions to promote sleep health equity in pediatrics.
本文综述了从儿童早期到青少年期（出生至 18 岁）儿童睡眠健康和睡眠障碍方面的差异。睡眠健康是一个多维结构，包括睡眠时间、巩固和其他方面，而睡眠障碍既反映了行为上的（例如失眠），也反映了基于医学的（例如睡眠呼吸障碍）睡眠诊断。本文使用社会生态学框架，综述了与睡眠健康差异相关的多层次因素（即儿童、家庭、学校、医疗保健系统、社区和社会文化）。需要开展机制研究和使用交叉视角的研究来了解重叠的边缘化身份，以为儿科促进睡眠健康公平的多层次干预提供信息。
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